Tasha Renee Mironenko, PT, CLT-LANA
NPI 1194076109ActiveIndividual· Physical Therapist· Melrose Park, IL
Physical Therapist (PT, CLT-LANA) with Dpt Holdings LLC, practicing in Melrose Park, Illinois. Medicare paid $44,547 for services to 35 patients in 2024.
Overview
| NPI | 1194076109 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, CLT-LANA |
| Sole proprietor | No |
| NPI issued | Oct 1, 2012 |
| Last updated in NPPES | Sep 29, 2026 |
| Certified by provider | Sep 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 070.011252 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 35 |
|---|---|
| Services billed | 2,185 across 9 procedure codes |
| Paid by Medicare | $44,547 |
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Dpt Holdings LLCLisle, IL · 175 clinicians
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